AMELIA L MITTLEMAN (Credential# 1054027) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2015. The license expiration date date is December 31, 2015. The license status is INACTIVE.
AMELIA L MITTLEMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002733. The credential type is physician assistant. The effective date is January 1, 2015. The expiration date is December 31, 2015. The business address is 677 South Main Street, Cheshire, CT 06410. The current status is inactive.
| Licensee Name | AMELIA L MITTLEMAN |
| Credential ID | 1054027 |
| Credential Number | 23.002733 |
| Credential Type | Physician Assistant |
| Business Address |
677 South Main Street Cheshire CT 06410 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-03-01 |
| Effective Date | 2015-01-01 |
| Expiration Date | 2015-12-31 |
| Refresh Date | 2016-08-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1077436 | CSP.0052722 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-06-18 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 677 SOUTH MAIN STREET |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | CHESHIRE |
| Zip Code | 06410 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + CHESHIRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jerrold Mittleman | C/o S. Mittleman, North Miami Beach, FL 33160 | Licensed Clinical Social Worker | ~ 1995-06-30 |
| Suzie Amelia Lee | 3000 Valentine Ave, Bronx, NY 10458 | Physician Assistant | ~ 1998-10-31 |
| Frederick S Mittleman | 13004 Glenfield, Leawood, KS 66209 | Physician/surgeon | 2000-10-10 ~ 2001-11-30 |
| Amelia National | Amelia National Enterprise, LLC, Daytona Beach, FL 32119 | Interstate Land Sales Registration | 2020-01-01 ~ 2020-12-31 |
| Maggie Saintjoy | 5762 Lake Amelia Way, #20, Bonita Springs, FL 34135 | Occupational Therapist Assistant | 2014-07-23 ~ 2015-07-31 |
| Amelia Curtis | 73 Moore Ave Apt 3, Worcester, MA 01602-1846 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Daniel J Mittleman | 185 Kensico Rd, Thornwood, NY 10594-1656 | Optician | 2019-07-01 ~ 2020-06-30 |
| Amelia Catherine Swanson | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2014-07-01 ~ 2018-06-30 |
| Amelia Jane Morrison | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on AMELIA L MITTLEMAN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).